Perioperative benefits of distant ischemic conditioning in coronary revascularization
<p><strong><span style="font-family: Verdana,Arial,Helvetica,sans-serif; font-size: small;">Introduction</span></strong><span style="font-family: Verdana,Arial,Helvetica,sans-serif; font-size: small;"><strong>:</strong> A series of...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | Spanish |
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Centro Nacional de Información de Ciencias Médicas. Editorial de Ciencias Médicas (ECIMED)
2019-01-01
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| Series: | Revista Cubana de Anestesiología y Reanimación |
| Subjects: | |
| Online Access: | http://revanestesia.sld.cu/index.php/anestRean/article/view/503 |
| _version_ | 1819298457245974528 |
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| author | Rudy Hernández Ortega Maria Oslaida Agüero Martínez Osvaldo González Alfonso Idoris Cordero Escobar Teddy Osmín Tamargo Barbeito |
| author_facet | Rudy Hernández Ortega Maria Oslaida Agüero Martínez Osvaldo González Alfonso Idoris Cordero Escobar Teddy Osmín Tamargo Barbeito |
| author_sort | Rudy Hernández Ortega |
| collection | DOAJ |
| description | <p><strong><span style="font-family: Verdana,Arial,Helvetica,sans-serif; font-size: small;">Introduction</span></strong><span style="font-family: Verdana,Arial,Helvetica,sans-serif; font-size: small;"><strong>:</strong> A series of brief distant ischemia periods can limit myocardial damage produced by ischemia or reperfusion. </span><br /> <span style="font-family: Verdana,Arial,Helvetica,sans-serif; font-size: small;"><strong>Objective:</strong> To analyze the differences between the two groups (control and study) taking into account the consumption of inotropics and/or vasopressors during the intraoperative and postoperative periods, as well as the incidence of major cardiac adverse events and mortality in the postoperative period. </span><br /> <span style="font-family: Verdana,Arial,Helvetica,sans-serif; font-size: small;"><strong>Methods:</strong> A quasiexperimental, explanatory and comparative study with historical control was conducted on two groups of 247 patients proposed for coronary revascularization. A tourniquet was placed to the right arm, in the study group, alternating three insufflations with three dessufflations with a pressure of 200 mmHg, keeping each for five minutes. This procedure was performed before, during and after the major ischemic event, caused by pinching of the coronary artery. </span><br /> <span style="font-family: Verdana,Arial,Helvetica,sans-serif; font-size: small;"><strong>Results</strong>: A significant decrease in the consumption of inotropic and vasoactive drugs was achieved. The decrease in the incidence of low reversible cardiac output, ventricular fibrillation, and new acute myocardial infarction was also proven. </span><br /> <span style="font-family: Verdana,Arial,Helvetica,sans-serif; font-size: small;"><strong>Conclusions: </strong>Distant ischemic conditioning is an important tool to be taken into account for perioperative cardiac protection in coronary revascularization. </span></p> |
| first_indexed | 2024-12-24T05:30:12Z |
| format | Article |
| id | doaj.art-09fccdd5ac9b4173880427b7e478c677 |
| institution | Directory Open Access Journal |
| issn | 1726-6718 |
| language | Spanish |
| last_indexed | 2024-12-24T05:30:12Z |
| publishDate | 2019-01-01 |
| publisher | Centro Nacional de Información de Ciencias Médicas. Editorial de Ciencias Médicas (ECIMED) |
| record_format | Article |
| series | Revista Cubana de Anestesiología y Reanimación |
| spelling | doaj.art-09fccdd5ac9b4173880427b7e478c6772022-12-21T17:13:11ZspaCentro Nacional de Información de Ciencias Médicas. Editorial de Ciencias Médicas (ECIMED)Revista Cubana de Anestesiología y Reanimación1726-67182019-01-01183487Perioperative benefits of distant ischemic conditioning in coronary revascularizationRudy Hernández Ortega0Maria Oslaida Agüero Martínez1Osvaldo González Alfonso2Idoris Cordero Escobar3Teddy Osmín Tamargo Barbeito4Hospital Hermanos AmeijeirasHospital Hermanos AmeijeirasUniversidad de Ciencias Médicas de Villa ClaraHospital Hermanos AmeijeirasHospital Hermanos Ameijeiras<p><strong><span style="font-family: Verdana,Arial,Helvetica,sans-serif; font-size: small;">Introduction</span></strong><span style="font-family: Verdana,Arial,Helvetica,sans-serif; font-size: small;"><strong>:</strong> A series of brief distant ischemia periods can limit myocardial damage produced by ischemia or reperfusion. </span><br /> <span style="font-family: Verdana,Arial,Helvetica,sans-serif; font-size: small;"><strong>Objective:</strong> To analyze the differences between the two groups (control and study) taking into account the consumption of inotropics and/or vasopressors during the intraoperative and postoperative periods, as well as the incidence of major cardiac adverse events and mortality in the postoperative period. </span><br /> <span style="font-family: Verdana,Arial,Helvetica,sans-serif; font-size: small;"><strong>Methods:</strong> A quasiexperimental, explanatory and comparative study with historical control was conducted on two groups of 247 patients proposed for coronary revascularization. A tourniquet was placed to the right arm, in the study group, alternating three insufflations with three dessufflations with a pressure of 200 mmHg, keeping each for five minutes. This procedure was performed before, during and after the major ischemic event, caused by pinching of the coronary artery. </span><br /> <span style="font-family: Verdana,Arial,Helvetica,sans-serif; font-size: small;"><strong>Results</strong>: A significant decrease in the consumption of inotropic and vasoactive drugs was achieved. The decrease in the incidence of low reversible cardiac output, ventricular fibrillation, and new acute myocardial infarction was also proven. </span><br /> <span style="font-family: Verdana,Arial,Helvetica,sans-serif; font-size: small;"><strong>Conclusions: </strong>Distant ischemic conditioning is an important tool to be taken into account for perioperative cardiac protection in coronary revascularization. </span></p>http://revanestesia.sld.cu/index.php/anestRean/article/view/503condicionamiento isquémico a distanciaisquemia/reperfusiónrevascularización coronariaparámetros enzimáticosprotección cardiaca |
| spellingShingle | Rudy Hernández Ortega Maria Oslaida Agüero Martínez Osvaldo González Alfonso Idoris Cordero Escobar Teddy Osmín Tamargo Barbeito Perioperative benefits of distant ischemic conditioning in coronary revascularization Revista Cubana de Anestesiología y Reanimación condicionamiento isquémico a distancia isquemia/reperfusión revascularización coronaria parámetros enzimáticos protección cardiaca |
| title | Perioperative benefits of distant ischemic conditioning in coronary revascularization |
| title_full | Perioperative benefits of distant ischemic conditioning in coronary revascularization |
| title_fullStr | Perioperative benefits of distant ischemic conditioning in coronary revascularization |
| title_full_unstemmed | Perioperative benefits of distant ischemic conditioning in coronary revascularization |
| title_short | Perioperative benefits of distant ischemic conditioning in coronary revascularization |
| title_sort | perioperative benefits of distant ischemic conditioning in coronary revascularization |
| topic | condicionamiento isquémico a distancia isquemia/reperfusión revascularización coronaria parámetros enzimáticos protección cardiaca |
| url | http://revanestesia.sld.cu/index.php/anestRean/article/view/503 |
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